Provider Demographics
NPI:1770090821
Name:ONE TO ONE HEALTH PLLC
Entity type:Organization
Organization Name:ONE TO ONE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCOO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-473-8984
Mailing Address - Street 1:246 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-4269
Mailing Address - Country:US
Mailing Address - Phone:423-602-9530
Mailing Address - Fax:
Practice Address - Street 1:313 BOYNTON DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2737
Practice Address - Country:US
Practice Address - Phone:423-402-8176
Practice Address - Fax:706-935-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45695208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty